Driven Health Insurance Advisor with expertise in promoting insurance options, determining clients' needs and detecting potential clients. In-depth knowledge of claims processing, database management and correspondence. Outstanding analytical, interpersonal and organizational skills. Dedicated to expediently resolving insurance issues and exceeding client expectations.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Health Insurance Advisor
USHEALTH Group
01.2023 - 07.2023
Answered inbound calls from existing and future policyholders to answer inquiries and discuss insurance options.
Educated clients about health insurance coverage options, benefits and costs.
Responded to customer inquiries regarding health insurance coverage and policies to assist with informed decision-making.
Provided comprehensive customer service to drive client satisfaction.
Performed needs analysis to obtain information required to make appropriate health insurance product recommendations.
Verified insurance coverage by telephone and online to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities.
Monitored changes in health insurance laws and regulations to verify continuous compliance.
Developed tailored health insurance plans to meet individualized client needs.
Registered Nurse, Emergency Department
Cross Country Healthcare
01.2021 - 09.2022
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Delivered important IV and venous medications to control symptoms and provide effective treatments.
Communicated openly and collaboratively with all healthcare staff to organize successful patient care.
Administered medications via oral, IV, and intramuscular injections and monitored responses.
Answered codes quickly and orchestrated efficient, skilled medical care.
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
Educated family members and caregivers on patient care instructions.
Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
Collected blood, tissue, and other laboratory specimens and prepared for lab testing.
Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.
Emergency Room Registered Nurse
Orlando Health Dr. Phillips Hospital
04.2007 - 12.2021
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Administered medications via oral, IV, and intramuscular injections and monitored responses.
Communicated openly and collaboratively with all healthcare staff to organize successful patient care.
Answered codes quickly and orchestrated efficient, skilled medical care.
Educated patients and answered questions about health condition, prognosis, and treatment.
Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
Educated family members and caregivers on patient care instructions.
Optimized outcomes in critical care situations through advanced life-saving techniques.
Kept optimal supply levels in treatment rooms, triage, and other areas to meet typical patient loads.
Coached and mentored junior staff to uplift department capabilities.
Performed triage on incoming patients and determined severity of injuries and illnesses.
Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction.
Education
Bachelor of Science - Nursing
Emporia State University
Emporia, KS
05.2003
Skills
Call Center Customer Service
Persuasive Sales Techniques
Premium Collection
Data Integrity
Licensing Requirements
Industry Best Practices
Client Correspondence
Quality Assurance Requirements
Health Insurance Sales
Insurance Coverage Verification
Insurance Recommendation
Excellent Communication Talents
Insurance Eligibility
Data Accuracy
Health Insurance Industry Knowledge
Certification
Licensed Insurance Advisor - Certified license for the states of Florida, Louisiana, Colorado, Nevada, Kansas, Georgia, Michigan, Arkansas, Alabama, Tennessee, Indiana, Maryland, South Carolina, Ohio, Texas, Utah, Virginia, and South Dakota. All in active status.
Hobbies
Passionate about diverse experiences and continuous learning, I find joy in immersing myself in various pursuits. From devouring books to creating intricate sewing projects, nurturing vibrant gardens, experimenting with new cuisines, and embarking on journeys to new places, my love for exploration knows no bounds. This enthusiasm for diverse activities fuels my desire for fresh perspectives and enriching encounters, fostering personal growth and a well-rounded approach to life.